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以萨尔特氏无名骨截骨术治疗先天性脱位与半脱位(作者译)

[The Salter innominate osteotomy as the treatment of congenital dislocation and subluxation (author's transl)].

出版信息

Z Orthop Ihre Grenzgeb. 1975 Jun;113(3):295-305.

PMID:1179798
Abstract

The Salter innominate osteotomy is useful in the treatment of congenital dislocation and subluxation of the hip after the age of 18 months. The procedure provides stable reduction of the femur even with weight bearing. In addition, the acetabulum depth is not diminished and the head is covered with hyaline cartilage. Derotation-varization intertrochanteric osteotomy improves hip biomechanics and when done in combination with the innominate osteotomy, the wedge of bone from the femur may be used in the ilium, precluding the necessity for a separate iliac graft. Combined Salter innominate osteotomy, intertrochanteric femoral osteotomy and open reduction as a single operation has produced satisfactory results and has distinct advantages over staged procedures.

摘要

萨尔特骨盆截骨术对于治疗18个月龄以上儿童的先天性髋关节脱位和半脱位很有用。该手术即使在负重情况下也能使股骨稳定复位。此外,髋臼深度不会减小,股骨头仍覆盖有透明软骨。转子间旋转内翻截骨术可改善髋关节生物力学,与骨盆截骨术联合进行时,取自股骨的骨楔可用于髂骨,无需另行取髂骨移植。将萨尔特骨盆截骨术、股骨转子间截骨术和切开复位作为一个单一手术联合进行已取得了满意的效果,与分期手术相比具有明显优势。

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